NPI age
20 years
Enumerated 2006-02-23
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 124121805 | |
| 01 (TX) | 8A9564 | BCBS |
Part of a multi-provider practice. 30 other active providers share this practice address in NPPES.
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